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Derek Weaver
Peer Specialist in Bend, Oregon
NPI 1003267808

Derek Weaver is a Peer Specialist based in Bend, OR. Derek Weaver practices in Bend, OR. The NPI Number for Derek Weaver is 1003267808 and holds a License No. (Oregon).

The current practice location address for Derek Weaver is 1128 Nw Harriman St, Bend, OR and can be reached out via phone at 541-330-4638 and via fax at 541-330-4630.

Location: 1128 Nw Harriman St, Bend, OR, 97701-7638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003267808
Provider Name
Derek Weaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
1128 Nw Harriman St, Bend, OR, 97701-7638
Phone Number
541-330-4638
Fax Number
541-330-4630
Provider Enumeration Date
06/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1128 Nw Harriman St
City
Bend
State
Oregon
Zip
97703-1947
Phone Number
541-330-4638
Fax Number
541-330-4630
person
Provider Business Mailing Address Details
Address
1128 Nw Harriman St
City
Bend
State
Oregon
Zip
97703-1947
Phone Number
541-330-4638
Fax Number
541-330-4630
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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